| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $15.14 | $43.65 | |
Cigna
| Facility | $15.49 | $15.49 | $15.49 | |
Cigna
| Professional | $10.47 | $13.18 | $13.18 | |
United
| Facility | $8.71 | $11.75 | $16.60 | |
United
| Professional | $10.00 | $13.49 | $19.05 |